LOUISIANA CAJUN NAVY

Fill out a volunteer application today!

****Important****
DO THIS BEFORE FILLING OUT THE ONLINE VOLUNTEER APPLICATION FORM.

You must download, Read, Sign and Return the waiver form via Email or snail mail. Please remember, your signed waiver form must be readable/printable when sent as a scanned document. Also include a head shot, passport style, of yourself so that we can add it to ID badges when on assignment.

Send the scanned form via email to WAIVER@louisianacn.com or mail it to the Galveston office (LA Cajun Navy, c/o Clyde Cain, 2724 61st Street, Suite 1-B, PMB #79, Galveston, TX 77551).

Once you do that, you may fill out and submit the online volunteer application form below.

WAIVER FORM

(If you're with one.) Organization:
* First Name:
* Last Name:

* Street Address:
(optional) Street Address:
* City, State Zip Code:	,
(If not USA.) Country:

(fill out if mailing address is different from above)
Mailing Address:
(optional) Address:
City, State Zip Code:	,
(If not USA.) Country:

* Phone:	( ) -

* Email:

Zello User Name:

Skills:

Certifications:

What would you like to volunteer for:

Vehicle Year - Make - Model: (If you plan to use it while volunteering)
Do you have a valid drivers license?	YES NO
Do you have vehicle liability insurance?	YES NO

Boat Year - Make - Model: (If you plan to use it while volunteering)

Comment:

	Yes, I want help in my region.
	Yes, I want help nationally.



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